Levels, method choice and predictors of contraceptive use among males in southern Africa
Abstract
This study assessed the relative risk of using male and partner contraceptive methods relative to non-use, identified the types of methods preferred by participants, and assessed the associated determinants of the use of male and partner methods. It used secondary data from the Demographic and Health Surveys conducted in Lesotho, Namibia, South Africa, and Zimbabwe. Participants were sexually active men aged 15–54. The study found that 32% of respondents did not utilize any method, while 36% and 32% used partner and male methods, respectively. The male method was more prevalent among men who had two or more sexual partners and among urban dwellers, while the partner method was predominant among those with less than two children and those who were indifferent about whether contraception is a woman's business. The study recommends that family planning programs should pay attention to male contraceptive needs and concerns. (Afr J Reprod Health 2022; 26[6]:27-35).
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United Nations, Department of Economic and Social Affairs, Population Division (2015). Trends in Contraceptive Use Worldwide 2015 (ST/ESA/SER.A/349).
Adeniyi OV, Ajayi AI, Moyaki MG, Ter Goon D, Avramovic G
and Lambert J. The high rate of unplanned pregnancy in the context integrated family planning and HIV care services in South Africa. BMC Health Serv Res 2018; 18:140.
Bearak J, Popinchalk A, Alkema L and Sedgh G. Global, regional, and sub-regional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model. Lancet Glob Health 2018; 6(4): e380–e389.
Chersich F, Wabiri N, Risher K, Shisana O, Celentano D, Rehle T, Evans M and Rees H. Contraception coverage and methods used among women in South Africa: A national household survey. S Afr Med J 2017; 107(4):307–314.
Yazdkhasti M, Pourreza A, Pirak A and Abdi F. Unintended Pregnancy and its Adverse Social and Economic Consequences on Health System. A Narrative Review Article. Iran Journal of Public Health 2015 Jan; 44(1): 12–21.
MacQuarrie Kerry LD, Edmeades J, Steinhaus M and Head Sara K. Men and Contraception: Trends in Attitudes and Use. DHS Analytical Studies 2015; No. 49. Rockville, Maryland, USA: ICF International.
Raselekoane R, Morwe KG and Tshitangano T. University of Venda’s male students’ attitudes towards contraception and family planning. Afr J Prm Health Care Fam Med. 2016; 8(2).
Kabagenyi A, Jennings L, Reid A, Nalwadda G, Ntozi J and Atuyambe L. Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda. Reproductive Health 2014; 11:21.
Calhoun LM, Mirzoyants A, Thuku S, Benova L, Delvaux T, van den Akker T, McGuire C, Onyango B and Speizer IS. Perceptions of peer contraceptive use and its influence on contraceptive method use and choice among young women and men in Kenya: a quantitative cross-sectional study. Reproductive Health, 2022 19(1), 1-12.
United Nations, Department of Economic and Social Affairs, Population Division (2019). Contraceptive Use by Method 2019: Data Booklet (ST/ESA/SER.A/435).
Bertrand JT, Ross J, Sullivan TM, Hardee K and Shelton JD. Contraceptive method mix: updates and implications. Global Health: Science and Practice 2020; 8(4), 666-679
Blackstone S, Nwaozuru U and Iwelunmor J. Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review International Quarterly of Community Health Education 2017; 37(2) 79–91.
Muheirwe F and Nuhu S. Men's participation in maternal and child health care in Western Uganda: perspectives from the community. BMC Public Health 2019; 19(1), 1048.
Ouma G, Karanja P and Udu D. Factors Influencing Male Involvement in Safe Motherhood among Communities in Kwale and Kilifi in Coastal Kenya. Global Journal of Health Sciences 2018; 3(3): 1–23.
Dral A, Tolani M, Smet E and Van Luijn A. Factors Influencing Male Involvement in Family Planning in Ntchisi District, Malawi—A Qualitative Stud. African Journal of Reproductive Health 2018 December; 22 (4): 36.
Fedricka F, Mkinguleb L, Mtaec H and Kigadye E. Factors Influencing Male Involvement in the Utilization of Family Planning in Chato District, Geita Region Tanzania. American Scientific Research Journal for Engineering, Technology, and Sciences (ASRJETS) 2020; 69(1): 121–139
Sharma S, Kc B and Khatri A. Factors influencing male participation in reproductive health: a qualitative study. Journal of multidisciplinary healthcare 2018; 11: 601–608.
Wang W and Mallick L. Understanding the relationship between family planning method choices and modern contraceptive use: an analysis of geographically linked population and health facilities data in Haiti. BMJ Glob Health 2019; 4.
Hardee K, Croce-Galis M and Gay J. Men as Contraceptive Users: programmes, Outcomes, and Recommendations Working Paper 2016; Washington, DC: Population Council, The Evidence Project.
Mozumdar A, Gautam V, Gautam, Dey A, Saith R, Achyut P, Kumar A, Aruldas K, Chakraverty A, Agarwal D, Verma R, Nanda P, Krishnan S and Saggurti N. Choice of contraceptive methods in public and private facilities in rural India. BMC Health Serv Res 2019; 19: 421.
Namasivayam A, Lovell S, Namutamba S and Schluter PJ. Improved contraceptive use among women and men in Uganda between 1995–2016: A repeated cross-sectional population study. PLoS ONE 2019; 14(7).
Butame SA. The prevalence of modern contraceptive use and its associated socio-economic factors in Ghana: evidence from a demographic and health survey of Ghanaian men. Public Health. 2019 Mar; 168:128–136.
Ross J and Hardee K. Use of male methods of contraception worldwide. Journal of Biosocial Science 2017; 49(5): 648–663
Ngcobo NB, Maharaj P and Nzima D. Men’s motivation for contraceptive use in Inanda township, KwaZulu-Natal, South Africa. Culture, Health and Sexuality 2019; 21(8): 957–967.
Daniels K and Abma C. Unmarried Men’s Contraceptive Use at Recent Sexual Intercourse: United States, 2011–2015. NCHS Data 2017 August; Brief No. 284.
Belle JA, Ferriera SB and Jordaan A. Attitude of Lesotho health care workers towards HIV/AIDS and impact of HIV/AIDS on the population structure. African health sciences 2013, 13(4), 1117–1125. https://doi.org/10.4314/ahs.v13i4.36
Mhele K. Covariates of Multiple Sexual Partnerships among sexually active men in Lesotho. African Journal of Reproductive Health 2017; 21(1): 78.
Odwe G, Wado YD, Obare F, Machiyama K and Cleland J. Method-specific beliefs and subsequent contraceptive method choice: Results from a longitudinal study in urban and rural Kenya. PloS one, 2021 16(6), e0252977.
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